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General NPI Number Information
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NPI Number | 1164313292
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Entity Type | Individual
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Provider Name | KATELYN ANNE ZANESKI PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 50 MOUNT PROSPECT AVE STE 203
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City | CLIFTON
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State | NJ
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Zip | 07013-1900
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Country | US
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Telephone | 862-238-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 6 STEPHEN CT
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City | NEW CITY
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State | NY
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Zip | 10956-3621
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Country | US
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Telephone | 631-603-9444
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 25MP00938700
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License Number State | NJ
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